MRS. BRENDA B HANEY MSW LISW LCDC III NPI 1871577791

NPI Information

NPI: 1871577791
Provider Name: MRS. BRENDA B HANEY, MSW LISW LCDC III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Organization: CLEARING PATH'S THERAPEUTIC SERVICES LTD

PECOS Registration: Yes

Address:
652 SUPERIOR AVE
DAYTON, OH
ZIP 45402
Phone: (937) 228-7216
Get Directions

MRS. Brenda B Haney, MSW LISW LCDC III is an addiction (substance use disorder) counselor in Dayton, OH with 22 years of experience. MRS. Brenda B Haney, MSW LISW LCDC III NPI is 1871577791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

652 SUPERIOR AVE
DAYTON, OH
ZIP 45402-303
Phone: (937) 228-7216

The NPI 1871577791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	011369	OHIO	Yes
2	1041C0700X	Social Worker	Clinical	I0019560	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HASW28471	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	2272231	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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